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E0455

E0455Oxygen tent, excluding croup or pediatric tents

HCPCSActiveBETOS D1C

E0455 is a HCPCS Level II code for oxygen tent, excluding croup or pediatric tents. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Special coverage instructions apply

There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Medically Unlikely Edits — units per day

The most units of E0455 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
outpatient
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
DME supplier
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for E0455

Long descriptor
Oxygen tent, excluding croup or pediatric tents

The official wording. This is what the code means.

Short descriptor
Oxygen tent excl croup/ped t

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 1986

When CMS introduced the code.

BETOS
D1C

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
33 — DMEPOS

Oxygen and oxygen equipment. Price subject to floors and ceilings.

Codes adjacent to E0455

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0455 is not quite right, the correct code is very often within a few positions of it.

  • E0441Stationary oxygen contents, gaseous, 1 month's supply = 1 unit
  • E0442Stationary oxygen contents, liquid, 1 month's supply = 1 unit
  • E0443Portable oxygen contents, gaseous, 1 month's supply = 1 unit
  • E0444Portable oxygen contents, liquid, 1 month's supply = 1 unit
  • E0445Oximeter device for measuring blood oxygen levels non-invasively
  • E0446Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories
  • E0447Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)
  • E0450Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)terminated
  • E0457Chest shell (cuirass)
  • E0459Chest wrap
  • E0460Negative pressure ventilator; portable or stationaryterminated
  • E0461Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)terminated
  • E0462Rocking bed with or without side rails
  • E0463Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)terminated
  • E0464Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)terminated
  • E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)

Questions about E0455

What is HCPCS code E0455?

E0455 is a HCPCS Level II code for oxygen tent, excluding croup or pediatric tents. It sits in the Durable Medical Equipment section.

Does Medicare cover E0455?

The CMS HCPCS file marks E0455 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

HCPCS Level II2026Q3-Jul· effective July 1, 2026